| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 012513 | (X3) Date Survey Completed 07/14/2021 |
| Name of Provider or Supplier Bma Langdale | Street Address, City, State 8 Medical Park North, Valley, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| V0000 | Based on the recertification survey conducted 7/12/21 to 7/14/21 BMA Langdale was not in compliance with the Conditions for Coverage (CfC) at 494.30 Infection Control and 494.90 Patient Plan of Care and related standard level deficiencies. 'CORE' |